The Dallas daily herald. [volume] (Dallas, Tex.) 1873-1887, 1887-07-02

begin on the lower jaw first. and in this
operation rs there is danger of the
tongue falling downward, pushing the
epiglottis back and causing suf'ocaton,
piece of catgut was run through the
tip and it was held by an assistant An
incision was made from the point OF
of the right ear along the line of
the jaw-bone to the left ear. The
tissue was thick, and the extent of the
hemorrhage did not present favora-
BILE indication of good result. The
flesh was carefully cut away from the
lower jaw, and it required the most
careful watching to prevent the blood
from flowing into the throat. As a pre-
cautionary measure the instruments
were kept in readiness to perform
trachootomy. When the flesh was free
from the lower jaw it was pulled up by
hooks.
AN INCIsIoN WAS MADE
In the center of the upper lip to the
to the eye. The hooks were raised up
ward and the tissue was drawn over
the patients face while il was dissected
from the upper jaw to the cheek bone,
and as far as both ears. The entire
bony structure Of the face was then ex-
posed, and, with the loose flesh lying
on the patient face, the sight was IL
deed ghastly. To facilitate removal
the lower jaw was cut through with
saw at the center and the divided
ends were separated. The connectoir
of the temporal muscle to the cormod
process was severed so that the bone
could be turned outward to expose the
joint and render it more easy to pre-
vent decorating the internal maxillary
artery, which would make a very dan
gerous and perhaps fatal complication.
The capsular ligamcnt of the joint
was opened in front, the candyle was
easily turned out and half the jaw re-
moved. The other side was treated in
a similar manner. The bone was ter
rible diseased and very foul, especially
where it had been struck by the spear.
The temporal artery was compressed
and the facial arteries tied. The pro-
cess which untes the upper jaw to the
frontal bone was divided. With tho
use of saw, chsels and gouges the
hard palate and the nasal process were
cut through. 1t was work requiring
the greatest care and was performed
with skin and remarkable precision.
The fleshy adhesions to the bone were
carefully cut away and upper and lower
jaw were
PLACED SIDE BY SIDE UPON A TABLE.
The wound presented horrible APP
pearanco, and it took long time to
pick up the bleeding points and tie the
arteries. When the hemorrhage had
been stopped the wound was washed
with an antseptic, and the large flap
was returned to position, What was
left did not appear m UGH like face.
The flap was joined to the flesh in the
neck by suturcs and small tubes were
put in where the mouth had been to
drain whatever dishcharge might be.
The tongue was held out by a clamp
fastened to string around the neck.
The wound has now nearly healed,
the patient is recovering strength, but
his face is as fiat as pancake. An
attempt will be made as soon as the
tenderness is gone to put in an artiii-
clal rubber jaw to give the face nat
ural appearance. II the patient can
get used to the inconvenience there will
not be much deformty left in the con-
tour, though, of course, the scars will
show some thing of what he has gone
through. Whether there will be per-
manent cure can not be told Tor a year.